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Free practice question: Focal abdominal wall pain with normal workup

Question 8 of 25 in the free Starter set. Single best answer, three options, like the real exam.

C6 · Visceral pain

A 34-year-old woman has 8 months of sharp, well-localized right lower-quadrant pain that worsens when she sits up or coughs. Ultrasound, CT, colonoscopy, and laboratory tests are normal. She has a fingertip-sized tender point at the lateral edge of the right rectus abdominis with altered pinprick sensation around it, and the tenderness increases when she lifts her head and legs to tense the abdominal wall. What is the most appropriate next step?

Review the topic: Abdominal wall pain, ACNES and pudendal neuralgia

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